Radiography is a fundamental tool for clinical decision-making and decision-making in clinical medicine and plays a critical role in identifying and monitoring a wide range of pathological conditions, such as injuries. cartilage-subglobular system to pneumonia and leg deformities, third-party bodies, cardiovascular changes.
Traditionally, X-ray examinations are performed in inpatient diagnostic rooms, which require physical mobility or transfer from the patient's room. This is a significant part of clinical patients - especially in intensive care units, post-operative units, infectious isolation wards, intensive care units and palliative care units - є recumbent, unstable or under constant monitoring. In such cases, transportation to the X-ray room is technically difficult, but sometimes impossible.
Mobile radiography is a technological solution that allows you to monitor the patient’s bed directly. Modern mobile X-ray diagnostic systems, especially digital ones, have a high diagnostic separation capacity, high processing capability and digital integration with hospital infrastructure (PACS, RIS). This opens up new possibilities for timely diagnosis, treatment monitoring and reduction of possible risks.
There is particular interest in developing mobile X-ray systems of the Visitor T series from the Italian manufacturer Villa Sistemi Medicali, which are adapted to the needs of doctors of different levels and ensure functional flexibility diagnostic procedures.
1.1. Urgent diagnostics
In emergency departments, intensive care units, intensive care, or post-operative wards, patients are often critically ill. The movement of such patients is physiologically unsafe - through the risk of destabilization of hemodynamics, disconnection of life-safety equipment, increased stress and infection risks.
Mobile systems allow X-ray examination to be carried out directly from the patient’s bed, without changing its position. For example, a visual X-ray of the chest allows one to evaluate the leg structure, cardiac tone, placement of the endotracheal tube, central venous catheter and pleural drainage.
1.2. Speed and integration into the protocol
Mobile digital systems ensure the capture and analysis of images. This is especially important in situations that require a quick clinical decision: if there is a suspicion of pneumothorax, perforation of the intestinal tract, multiple fractures, foreign bodies, etc. Digital image processing in Visitor systems allows them to be immediately transferred to a local PACS server or displayed on a touch screen monitor for evaluation by a physician.
2.1. At the medicine shops of the secondary and tertiary regions
In municipal and regional hospitals, mobile radiographic systems are installed for servicing in a section remote from the X-ray room. This is especially true in highly specialized hospitals, where the focus on the main office outweighs the available resources. Due to its compactness and autonomy, the system can be quickly delivered to the patient, free of charge, and the results will be saved in the electronic medical system.
Visitor T30 and the digital version T30 C-DR are ideal systems when you need wide versatility and uncompromising image clarity at a low cost-effective investment. A 32 kW monoblock, which can be equipped with additional filters on the collimator, will ensure optimal display of especially foldable X-ray projections, guaranteeing high-quality images at any time.
2.2. In departments of anesthesiology and intensive care
In departments of anesthesiology and intensive care, radiography is often used or indicated several times to monitor the status of the lung, the position of catheters, the detection of pneumonia and pleural vipotu. Mobile systems will ensure a reduction in the burden on medical personnel, allow you to shorten the hour of fasting to a few minutes, and digital detectors will minimize the dose of radiation and result in a more accurate tracking of the result, and even automatically transmit it to the doctor for writing a conclusion.
In such situations, the Visitor T30 M-DR systems have proven themselves to be the most effective, as they have a high-efficiency battery system that runs an X-ray generator: this means that they do not require frequent connection to power cuts and allow for padding is practical in any place. The autonomy of the battery allows for a large exposure to various anatomical parts of the patient (approximately 400 exposures at 100 kV and 20 mAs). Moreover, the accumulators also power two large drive wheels for quick and smooth movement of the equipment, which allows the operator to easily and effortlessly handle the large distances between the medical chambers.
2.3. In infectious diseases and isolation departments
Mobile radiography has become critically important during epidemics and pandemics, especially when hospitalizing patients with viral illnesses. The placement of a mobile device directly in the isolation zone allows for the avoidance of patient transfers by the hospital and reduces the burden on staff (including the need to disinfect areas after transportation), it allows you to:
Serial caution over the dynamics of the level is lower;
assessment of the effectiveness of respiratory therapy;
defining criteria for transferring between levels of assistance (for example, from infectious diseases department to VAIT).
Digital systems T30 R-DR and T40 M-DR have a power of 32/40 kW, which is sufficient to capture a clear image of the leg, for some patients with hyperthermia, and can also implement image processing algorithms, DICOM-intelligence allows the transfer of results to an infectious disease specialist or pulmonologist in another building or warehouse - without direct contact.
2.4. Surgical and postoperative blocks
In the early postoperative period, it is important to ensure constant visual control of the patient’s position, especially with risks of postoperative bleeding, pneumonia, atelectasis and perforation. X-rays are also used to monitor the correct growth of post-operative implants (orthopedics, traumatology) and fixatives.
The advantage of the mobile system is the ability to quickly deliver the device to surgery or intensive care. This allows:
carry out control of unfastened access to the inpatient X-ray room;
minimize physical movement of the patient after general anesthesia;
It is timely to identify complications before the appearance of clinical symptoms.
high brightness of digital detectors;
automated exposure modes;
Swedes are positioned in cramped wards;
Integration with clinical information systems (PACS, RIS);
a DAP dosimeter is installed to control the dose of exposure.
4. Practical advantages in the implementation of mobile radiography
Efficiency - images are available within a few seconds after exposure.
Minimization of risks for the patient - there is no need for physical movement.
Reduced internal logistics—reduced demands on transport and personnel.
Reducing infectious risks - the reduction of infectious disease is avoided without contact with other areas of the medicine.
Digital transformation - DICOM support, snapshot archiving, remote consulting.
Mobile radiographic systems are indispensable in the practice of providing assistance to patients with difficult conditions, especially when their transportation is impossible or unsafe. They can not only change the time of diagnosis, but also improve the safety and quality of medical assistance.
Current digital systems, such as the Visitor Series T from Villa Sistemi Medicali, offer high technical productivity, adaptability to clinical minds and integration with the digital infrastructure of the medical sector. Their use in emergency care, resuscitation and infectious diseases medicine significantly improves the efficiency and safety of health care services.
